      <div class="page-header">
        <h1>会員登録</h1>
      </div>
			<form class="form-horizontal">
			  <div class="form-group">
			    <label for="inputEmail3" class="col-sm-2 control-label">Email</label>
			    <div class="col-sm-10">
			      <input type="email" class="form-control" id="inputEmail3" placeholder="Email">
			    </div>
			  </div>
			  <div class="form-group">
			    <label for="inputPassword3" class="col-sm-2 control-label">Password</label>
			    <div class="col-sm-10">
			      <input type="password" class="form-control" id="inputPassword3" placeholder="Password">
			    </div>
			  </div>
			  <div class="form-group">
			    <label for="firstName" class="col-sm-2 control-label">性</label>
			    <div class="col-sm-4">
			      <input type="text" class="form-control" id="firstName" placeholder="性">
			    </div>
			  </div>			  
			  <div class="form-group">
			    <label for="lastName" class="col-sm-2 control-label">名</label>
			    <div class="col-sm-4">
			      <input type="text" class="form-control" id="lastName" placeholder="名">
			    </div>
			  </div>				    
			  <div class="form-group">
			    <div class="col-sm-offset-2 col-sm-10">
			      <div class="checkbox">
			        <label>
			          <input type="checkbox"> Remember me
			        </label>
			      </div>
			    </div>
			  </div>
			  <div class="form-group">
			    <div class="col-sm-offset-2 col-sm-10">
			      <button type="submit" class="btn btn-default">登録する</button>
			    </div>
			  </div>
			</form>
